Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brent Alexander Roark, ATC

Individual provider Athletic Trainer · NPI 1083121917

Brent Alexander Roark, ATC is an Athletic Trainer in Athens, West Virginia. Practices as a sole proprietor. Licensed in West Virginia.

Licensed in
WV
In the registry since
2017
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1000 Vermillion St
Athens, WV 24712-9027
Phone: (304) 384-6320
Fax: (304) 384-5117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT001370 (WV)

Record details

NPI number1083121917
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedDecember 31, 2017
Last updated in NPPESDecember 31, 2017

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